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Through this analogy, it (in particular, the R-enantiomer [357]) may be interacting with warfarin through cytochrome P450 [358]

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Two observational studies reported similar high rates of efficacy, including significant pain relief in 91% of patients after six weeks of treatment accompanied by decreases in frequency and increases in voided volumes 144 and after an average one year of treatment, 87% of patients reporting that they were pain-free with similar improvements in voiding parameters